| NPI | 1053580662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MCSWAIN Practice Manager 843-762-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 19612) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |